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Organization
DIAMONDS ENTERPRISE HEALTH SERVICES,LLC
Active
Organization
DIAMONDS ENTERPRISE HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARREY STEVONE MBU AYANG (PRESIDENT/ALT ADMINISTRATOR)
(814) 217-6728
Entity
Organization
Contact information
Practice address
2221 PENINSULA DR # 209, ERIE, PA 16506-2954
(814) 217-6728
(814) 217-1550
Mailing address
2221 PENINSULA DR STE 209, ERIE, PA 16506-2954
(814) 217-6728
(814) 217-1550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
163WH0200X
Home Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
10/02/2017
Last updated
03/17/2018
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